Guidehouse Healthcare Network Management Strategy - Senior Consultant in Dover, Delaware
Guidehouse is a leading global provider of consulting services to the public and commercial markets with broad capabilities in management, technology, and risk consulting. We help clients address their toughest challenges and navigate significant regulatory pressures with a focus on transformational change, business resiliency, and technology-driven innovation. Across a range of advisory, consulting, outsourcing, and digital services, we create scalable, innovative solutions that prepare our clients for future growth and success. The company has more than 10,000 professionals in over 50 locations globally. Guidehouse is a Veritas Capital portfolio company, led by seasoned professionals with proven and diverse expertise in traditional and emerging technologies, markets, and agenda-setting issues driving national and global economies. For more information, please visit: www.guidehouse.com.
As a Senior Consultant, you will be part of a team of problem solvers with extensive consulting and industry experience, helping our clients solve their complex business issues from strategy to execution. Specific responsibilities may include: • Leverage your technical and strategic skills in many areas of health care, focusing on a specific area of specialization within the integrated healthcare system (service lines, facility strategy, enterprise strategy, financial strategy, M&A strategy, digital strategy, growth strategy) • Lead transformation project workstreams focused on the modernization of public sector and/or commercial/private healthcare operations by facilitating multiple process improvement strategies to increase revenue, develop standard practices for care delivery, improve the patient experience and the efficiency of healthcare systems • Support the management of engagement economics, including utilization of team, invoicing, collections, profitability • Develop and evaluate health plan network adequacy and improve recruitment of providers and health care organizations • Work in a fast-paced high performing environment while creating an outstanding culture that is accepting and leverages individual strengths • Develop strong client relationships and advise executive leaders on operations strategies to include drafting and proposing health plan policy, processes and operations • Support the delivery of financial plans for healthcare payer/provider operations that includes longitudinal analysis and delivers validated forward planning • Study industry trends, risks, and client's financial and market portfolio and advising executive leadership team on managed care contract details, strategy, operations and benefits design that maximizes network access, outcomes and consumer experience • Research and evaluate procurement/contract options and advise organizations regarding best options for successful outcomes
Additional responsibilities may include: • Structure project analyses and execute project deliverables • Define creative approaches to analyses building strategic models and solutions • Identify new tools and techniques to be applied • Develop/refine intellectual property concepts and potential market opportunities • Identify and discuss project scope problems with client, escalate as necessary
Required: • Bachelor's degree required; Master's degree in business, management, health economics, policy and administration or other quantitative degree is a plus • 3+ years of previous work experience in a healthcare consulting firm or a combination of healthcare industry and consulting experience • Must have previous strategy experience within the integrated healthcare system (service lines, facility strategy, enterprise strategy, financial strategy, digital strategy, growth strategy, managed care strategy) • Project and/or program management experience 3+ yrs • Excellent quantitative analysis skills in data analysis, modeling, dashboards • Working knowledge of Word, Excel, PowerPoint, and Access as well as the ability to conduct research • The ability to travel as necessary: 50%
• PMP, CSM, or Six Sigma certification and/or experience • Payer Operations, including Medicare, Medicaid, ACA and Tricare • Large clinical integration network operations experience • Prior management consulting experience
The successful candidate must not be subject to employment restrictions from a former employer (such as a non-compete) that would prevent the candidate from performing the job responsibilities as described.
This role is available virtually from the Eastern or Central time zones. Strong consideration will be given to candidates in the Washington, DC, metro area.
Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.
Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.
If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com . All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.
Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.
Rewards and Benefits
Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.
Medical, Rx, Dental & Vision Insurance
Personal and Family Sick Time & Company Paid Holidays
Position may be eligible for a discretionary variable incentive bonus
Parental Leave and Adoption Assistance
401(k) Retirement Plan
Basic Life & Supplemental Life
Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
Short-Term & Long-Term Disability
Tuition Reimbursement, Personal Development & Learning Opportunities
Skills Development & Certifications
Employee Referral Program
Corporate Sponsored Events & Community Outreach
Emergency Back-Up Childcare Program
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